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NPI Code Detail

MEDICARE: CONSUMER DIRECT PERSONAL CARE, LLC

MEDICARE: CONSUMER DIRECT PERSONAL CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2333300000XEmergency Response System Companies
3251E00000XHome Health AgencyMT
4253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154456366
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSUMER DIRECT PERSONAL CARE, LLC
Provider Business Mailing Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 406-532-1900
Fax Number : 406-532-8573
Provider Business Practice Location Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 406-532-1900
Fax Number : 406-532-8573
Authorized Official
Title or Position : LEGAL MANAGER
Name : HOLLY STEPHENS
Credential :
Telephone Number : 406-532-1929
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/24/2025

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Directions to “CONSUMER DIRECT PERSONAL CARE, LLC ” Practice Location

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